HEMOTHERM DUAL RESERVOIR COOLER/HEATER 55552

MAUDE Adverse Event Report

MAUDE data represents reports of adverse events involving medical devices. This maude entry was filed with the FDA on 2020-03-19 for HEMOTHERM DUAL RESERVOIR COOLER/HEATER 55552 manufactured by Cincinnati Sub-zero Products, Inc..

Event Text Entries

[184079626] Cincinnati hemotherm dual reservoir cooler/heater was identified as being defective. During precheck of the device, the defect was identified. When turning the unit on, it immediately turns off. Upon review of the device by biomedical engineering, it was determined to be a problem with the power board. A week prior, a different cincinnati hemotherm dual reservoir cooler/heater was identified as having the same problem with the power board. Both devices had new power boards installed on [date redacted] in response to the urgent medical device correction letter received by the company. Defect was identified before reaching the patient.
Patient Sequence No: 1, Text Type: D, B5


MAUDE Entry Details

Report Number9853330
MDR Report Key9853330
Date Received2020-03-19
Date of Report2020-01-31
Date of Event2020-01-30
Report Date2020-01-31
Date Reported to FDA2020-01-31
Date Reported to Mfgr2020-03-19
Date Added to Maude2020-03-19
Event Key0
Report Source CodeUser Facility report
Manufacturer LinkN
Number of Patients in Event0
Adverse Event Flag3
Product Problem Flag3
Reprocessed and Reused Flag3
Reporter OccupationOTHER HEALTH CARE PROFESSIONAL
Health Professional3
Initial Report to FDA3
Report to FDA3
Event Location3
Single Use3
Previous Use Code3
Event Type3
Type of Report3

Device Details

Brand NameHEMOTHERM DUAL RESERVOIR COOLER/HEATER
Generic NameCONTROLLER, TEMPERATURE, CARDIOPULMONARY BYPASS
Product CodeDWJ
Date Received2020-03-19
Model Number55552
Device AvailabilityY
Device Age3 YR
Device Eval'ed by Mfgr*
Device Sequence No1
Device Event Key0
ManufacturerCINCINNATI SUB-ZERO PRODUCTS, INC.
Manufacturer Address12011 MOSTELLER RD 3RD FLOOR BLUE ASH OH 45241 US 45241


Patients

Patient NumberTreatmentOutcomeDate
10 2020-03-19

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